Sutureless, posterior lamellar keratoplasty: a case report of a modified technique

Cornea
G R MellesCarla P Nieuwendaal

Abstract

To describe a technique for sutureless, posterior lamellar keratoplasty. The procedure was performed for a case of pseudophakic bullous keratopathy. Through a 5.0-mm, self-sealing scleral tunnel incision, a stromal pocket was dissected across the cornea, just above Descemet's membrane. An 8.5-mm diameter posterior lamellar disc, consisting of posterior stroma, Descemet's membrane, and endothelium, was transplanted without suture fixation. One week after surgery, the best spectacle corrected visual acuity (BSCVA) was 0.8 (20/25), with S -1.5 and C -1.0 x 85 degrees. After 1 year, the posterior transplant was clear and in position, and the BSCVA was 0.8 with S -1.5 and C -1.75 x 80 degrees. Pachymetry measured 0.60 mm. Endothelial cell counts averaged 1390 cells/mm2. Sutureless, posterior lamellar keratoplasty may be an effective new surgical approach for managing corneal endothelial disorders.

Citations

Nov 12, 2005·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·G GeerlingG R J Melles
Feb 9, 2008·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·C Cursiefen, F E Kruse
Jul 4, 2012·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·M K J KlamannP C Ruokonen
Nov 26, 2009·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Edgar M EspanaBo Huang
Sep 28, 2007·International Ophthalmology·Kenneth M Goins
Jan 16, 2008·International Ophthalmology·Francis W Price, Marianne O Price
Mar 11, 2008·Eye·M Anandan, M Leyland
Apr 16, 2004·Cornea·Gerrit R J MellesCarla P Nieuwendaal
Jul 26, 2003·International Ophthalmology Clinics·Mark A Terry
Jan 6, 2004·International Ophthalmology Clinics·Patrick C YehKathryn Colby
Aug 25, 2006·International Ophthalmology Clinics·William W Culbertson
Mar 22, 2005·Cornea·Melvin A SaraybaRonald M Kurtz
May 4, 2006·Cornea·Shameema Sikder, Robert W Snyder
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Nov 15, 2006·Cornea·Francis W Price, Marianne O Price
Nov 15, 2006·Cornea·Gerrit R J Melles
Sep 26, 2007·Cornea·Bruce D S AllanMargareta Claesson
Oct 27, 2007·Cornea·Donald T H Tan, Jodhbir S Mehta
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Jun 4, 2010·Cornea·George R WandlingMichael D Wagoner
Jun 9, 2012·Cornea·Hassan HashemiMehrdad Mohammadpour
Dec 12, 2012·International Ophthalmology Clinics·Arthur W Giebel

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